HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
te: 7/5/2018 SCANNED Permit Numb
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Building Permit Application
Pl nning and Development Services
8 lding and Code Regulation Division
230 Virginia Avenue, Fort Pierce FL 34982
Pone: (772) 462-1553 Fax: (772) 462-1578 Commercial
JUL 17 2018
Permitting Department
St. Lucie County, FL
Residentia
PERMIT APPLICATION FOR: Generator 11
Pf OPOSED IMPROVEMENT LOCATION:
Ad �Ilress: 2023 NW LAUREL OAK LN PALM CITY, FL 34990
Leal Description: HARBOUR RIDGE -PLAT 6 LAUREL OAK VILLAGE UNIT 15 (MAP44/26N) (OR 2537-318)
ierty Tax ID #: 4425-605-0048-000-2
Plan Name:
act Name: GAFFNEY GENERATOR SYSTEM
Jacks Front72' Back: 44' Right Side: 24' Left Side: 84'
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Sq,PPLY & INSTALL A NEW 22 KW GNERATOR, 200A SE TRANSFER SWITCH AND NEW
GEiN PAD.
CONSTRUCTION INFORMATION:
it onal work to e e orme un er this permit - c ec
UHVAC 1. Gas Tank []Gas Piping
a
apply:
Shutters
Q Windows/Doors
-
Electric 0 Plumbing
Sprinklers
Generator
Roof Roof pitch
Total
Sq. Ft of Construction:
S . Ft. of First Floor:
E]
Cost
of Construction: $ 9,250.00
=-Utilities: Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Nme .I'I MaGJrlGt rnatn e
Name: JAMES L REISNER
h _y
A dress: _Za23 i1f w • Lctiii=O LJL-
Company: JIM REISNER ELECTRIC, LLC
C�Ity: PQI tM �1-�-� �1 Stated -F(
Address: 4886 SW HONEY TERRACE
Zjp Code Fax:
City: PALM CITY State: FL
�33 —� 6
one h �3-' � �
P�!!Mail-jaAiesmL%wx@beffsouth-.net
34990
Zip Code: Fax:
nbrN\&, Sri c l n a cc
Phone No. 772-260-0732
Fill in fee simple Title Holder on next page ( if different
E-Mail: lamesreisner@bellsouth.net
f 11 m the Owner listed above)
State or County License: EC-0002442
of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
P
DSIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
N 1 me: JIM REISNER ELECTRIC, LLC
Name: JAMES L REISNER
A�drress:2023 NW LAUREL OAK LN PALM CITY, FL 34990
Address: 4886 SW HONEY TERRACE
Cit�/; PALM CITY State:
Zip: Phone
City: PALM CITY State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable
BONDING COMPANY: Not Applicable
_
Name:
Aid d ress: 4886 SW HONEY TERRACE
City:
Zip: Phone:
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 c i rtify that no work or installation has commenced prior to the issuance of a permit.
St. ILucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
aclessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
p'provements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
c6mmeoeMg work or recQr4ing your Notice of Commencement.
� LJ
ure of Owner/ Les ee/Contractor as Agent for Owner
ZA
Signa a of Contractor/License Holder
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Tlhe f r oin instrumen was acknowledge before me
If is day of 20 by
The going instru e t was acknowledg efore me
this r day of 20by
Name of person making statement
ersonally Known OR Produced Identification
Type of Identification ,�n
roduced �/IIVLr
Name of person making statement
Personally Known OR Produced Identification
Type of Identification ^�
Produced 'Ito
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(Sig ature of Nota ublic- St to of Flor -
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Sig re of Notary Public- State of Florida
N. LLAPUR
10 ission No. Notary Public, State
Commission# FF
I, My comm. expires
otfti ion No. ( eal) 0E310EE N• LLAPU
928W �� Notary Public, State of F
t.111, 2019 Commission# FF 928
comm. exiaires 0ct.18
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2
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
(DATE
RECEIVED
ATE
EOMPLETED
Rev.
8/2/17